Assessment of bio medical waste management practices of staff nurses according to newer guidelines in a teaching hospital of rural Vadodara, Gujarat
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174275Keywords:
BMW guidelines 2016, BMW management, Staff nursesAbstract
Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.
Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.
Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.
Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice.
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References
Bio-Medical Waste (Management and Handling) Rules. Government of India, New Delhi. Ministry Of Environment, Forest and Climate Change Notification. Published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i). 28th March, 2016. 2016: 1–37.
Suwarna Madhukumar RG. Study about awareness and practices about health care wastes management among hospital staff in a medical college hospital, Bangalore. Int J Basic Med Sci. 2012;3(1):7–11.
Manoj B, Mishra A, Gautam P, Changulani R, Shrivastava D, Neeraj S. Management of bio- medical waste: awareness and practices in a district of Gujarat. National J Community Med. 2011;2(3):452-6.
Shrestha D, Gokhe SB, Dhoundiyal A, Bothe P. A case study to review compliance to biomedical waste management rules in a tertiary care hospital. Int J Community Med Public Health. 2017;4:511-5.
Gupta NK, Shukla M, Tyagi S. Knowledge, attitude and practices of biomedical waste management among health care personnel in selected primary health care centres in Lucknow. Int J Community Med Public Health. 2016;3(1):309-13.
Panneerselvam S. Knowledge on Biomedical Waste Management among Nurses Working in Hospital at Madurai. Int J Health Sci Res. 2016;6(8):229-33.
Kumar R, Khan EA, Ahmed J, Khan Z, Magan M, Mughal I. Healthcare waste management (HCWM) in Pakistan: current situation and training options. J Ayub Med Coll, Abbottabad. 2010;22(4):101–5.
Das SK, Biswas R. Awareness and practice of biomedical waste management among healthcare providers in a Tertiary Care Hospital of West Bengal, India. Int J Med Public Heal. 2016;6(1):19-25.
Chudasama RK, Rangoonwala M, Sheth A, Misra SK, Kadri AM, Patel UV. Biomedical waste management: A study of knowledge, attitude and practice among health care personnel at tertiary care hospital in Rajkot. J Res Med Dent Sci. 2013;1:17‑22.
Sachdeva S. Biomedical waste and solid waste management draft rules, 2015: A comment. Int J Heal Allied Sci. 2016;5:129–32.
Chawla S, Verma R, Khanna P. Practices Regarding Biomedical Waste Management among Health Functionaries : A Rural Haryana Perspective. National J Community Med. 2016;7(4):252-6.
Uddin MN, Islam MR, Yesmin K, Uddin MN, Islam MR, Yesmin K. Knowledge on Hospital Waste Management among Senior Staff Nurses Working in a Selected Medical College Hospital of Bangladesh. J Waste Manag. 2014;2014:1–5.
Mathur V, Dwivedi S, Hassan M, Misra R. Knowledge, attitude, and practices about biomedical waste management among healthcare personnel: A cross-sectional study. Indian J Community Med. 2011;36:143-5.